Individual provider Active NPI

Madeleine Hines

  • Physical Therapist
  • Newton, MA
National Provider Identifier
1568073708
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25110 Issued in MA
Practice address
55 Chapel St Ste 30
Newton, MA 02458-1095
Phone
(617) 618-9290
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25110 MA Primary

Addresses

Primary practice location

55 Chapel St Ste 30
Newton, MA 02458-1095

Mailing address

55 Chapel St Ste 30
Newton, MA 02458-1095
Phone (617) 618-9290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200914001446 MA Practitioner - Physical Therapist in Private Practice 1951729516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Girl Fit Physical Therapy IncGroup PAC ID 7315227733, 9 clinicians

Practice addresses (Care Compare)

130 Rumford Ave
Suite 108
Auburndale, MA 02466-1367
Phone (617) 618-9290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25110MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Girl Fit Physical Therapy, Inc. Physical Therapist CurrentSince Aug 11, 2020 Accepting new patients

Locations

130 Rumford Ave
Ste 108
Auburndale, MA 02466
Phone (617) 618-9290

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1568073708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CHAPEL ST STE 30",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581095",
            "telephone_number": "617-618-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CHAPEL ST STE 30",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581095",
            "telephone_number": "617-618-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "MADELEINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.